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45D0718441 CLIA NUMBER - HALLETTSVILLE NURSING AND REHABILITATION CENTER

Laboratory Demographics

CLIA Number: 45D0718441

Facility Name: HALLETTSVILLE NURSING AND REHABILITATION CENTER

Facility Address:
825 W FAIRWINDS DR
HALLETTSVILLE, TX
ZIP 77964
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Facility Phone Number: 361 798-2368

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1558352690

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 45D0718441
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HALLETTSVILLE NURSING AND REHABILITATION CENTER
Street 825 W FAIRWINDS DR
City HALLETTSVILLE
State TX
ZIP 77964
Phone 361 798-2368
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024